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MDRP Lifetime Achievement Award Nomination

MDRP Lifetime Achievement Award Nomination Form

As the longest running MDRP conference, we are honoring the best and recognizing the dedication of those who have propelled this industry forward. Please submit your award nomination(s) below. We have divided the nominations by role in the industry, as so many have worked together to make the Medicaid Drug Rebate Program what it is today.

	Please explain why you are nominating each person. What makes this person stand out over all others and deserve to win?
	*Government: Name, Title/Role, Agency, Contact information (phone or email) Reason for nomination*
	*Pharmaceutical: Name, Title, Company, Contact information (phone or email) Reason for nomination*
	*Other: Name, Title, Company, Contact information (phone or email) Reason for nomination*
	Tell us about you!
	Name
	Title
	Company
	Phone
	Email